general

  • Generic Name : Macimorelin
  • Pronunciation : ma-si-moe-REL-in
  • Therapeutic Classification : Diagnostic Agents
  • Trade Names/Brand Name : Macrilen

prescription

  • Macimorelin acetate is a growth hormone (GH) secretagogue receptor agonist which is prescribed to diagnose adult growth hormone deficiency (AGHD)

risk factors

Macimorelin allergy may occur in the following conditions:

  • Children
  • Body mass index (BMI) exceeding 40 kg/m2
  • Deficiencies in sex hormones, thyroid hormones, and/or glucocorticoids
  • Patients using medications that can impact pituitary GH secretion

side effects

  • Gastrointestinal effects may include heightened appetite, nausea, diarrhea, increased hunger, and alterations in taste.
  • Cardiovascular impacts could involve abnormal heart rhythm or an extended QT interval on an electrocardiogram (ECG).
  • Nervous system-related side effects may manifest as headaches, dizziness, and fatigue.
  • Respiratory issues may include infections of the respiratory tract.
  • Skin-related symptoms might encompass excessive sweating and a sensation of feeling hot.

dosage

  • The prescribed dosage is determined according to the patient’s specific body weight.
  • It is administered as a sole dose of 0.5mg/kg body weight following an 8-hour fasting period.

how to take

  • Patients with a weight < 120 kg should utilize one sachet
  • While those with a weight > 120 kg should employ two sachets.

warning

  • A patient must observe an 8-hour fasting period before consuming the macimorelin oral solution.
  • Close monitoring is essential for patients with cardiac conditions to mitigate the potential risk of abnormal heart rhythm, which could result in sudden cardiac death.
  • Individuals with lesions in the hypothalamus may require repeat testing, as there is a possibility of obtaining a false negative test result.
  • Reconstitution of the solution should only be performed by a trained healthcare professional and administration should be conducted under medical supervision.
  • The safety of using macimorelin during pregnancy and breastfeeding has not been established.

storage

A temperature range of 2°C to 8°C.
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